| Amy B. Pincus, Llc | |
|
21825 Chagrin Blvd Ste 345 Beachwood OH 44122-5352 | |
| (216) 264-9682 | |
| Not Available |
| Full Name | Amy B. Pincus, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 21825 Chagrin Blvd Ste 345, Beachwood, Ohio |
| Authorized Official Name and Position | Amy B. Pincus (PRESIDENT) |
| Authorized Official Contact | 2162649682 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy B. Pincus, Llc 24340 Fairmount Blvd Beachwood OH 44122-2234 Ph: (412) 330-8982 | Amy B. Pincus, Llc 21825 Chagrin Blvd Ste 345 Beachwood OH 44122-5352 Ph: (216) 264-9682 |
| NPI Number | 1740093020 |
|---|---|
| Provider Enumeration Date | 01/30/2025 |
| Last Update Date | 04/27/2025 |
| Certification Date | 04/27/2025 |
| Medicare PECOS PAC ID | 7810418498 |
|---|---|
| Medicare Enrollment ID | O20250312000497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740093020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amy B Pincus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295311991 PECOS PAC ID: 1052856192 Enrollment ID: I20240712001038 |
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